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DSS Forms

Facility Complaint Form

Click here to download

Monthly Budget Form

Click here to download

Attendance Form

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Authority For Release of Information

Click here to download

Family Center Casework form

Click here to download

Fire Safety Inspection Report

Click here to download

Medical History Form

Click here to download

Request For Medical Information

Click here to download

Lee County Dept. of Social Services Medication Administration Record

Click here to download

Medication Log

Click here to download

Request For Medication To Be Given During School Hours

Click here to download

Wage Verification Form

Click here to download

Childcare Request for Waiting List Purposes

Click here to download

Governor's One-on-One Youth Referral Form

Click here to download

Governor's One-on-One Volunteer Program, Volunteer Application

Click here to download

Lee County Department of Youth & Adult Services; Youth Services Referral Form

Click here to download

Social Services Main Page




Lee County Social Services
 

 

 

For Left Side

530 Carthage Street
P.O. Box 1066
Sanford, NC 27330

Phone 919-718-4690
Fax 919-718-4634

Hours of Operation
Monday - Friday
8 am - 5 pm

Board Members:

Ophelia Livingston, Chairman
Gail Dickens, Vice Chairman
David Riddle
Paul Utley
Amy Dalrymple